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Collett
< ,� . _ NOTICE OF CLAIM FORM to the City of Saint Paul, n�����c�a, Minnesota State Statute�r So.OS states that "...every person...who claims damages from any municipality...shall ca �Q b p,resented to the governing body of the municipality within 180 days after the alleged loss or injury is discoyered a notice statin��ti�,tplt�t�ghd circumstances thereof,and the amount of compensation or other relief demanded." ' �.,�.�,� .�_� : . � Piease compiete this €or�rf i►� its entirety by dea3-l�� typing or printing your ans�,�er co e�.cii questian. Yf tnm-�"s�i�ce is needed,attsch addition�l sheets. Please note that yotiE�viil not be coi�tacted by telef�hpne to clarify answers,so pl�ovi�le as mt�eh i��'orkk��f�ion as ncc�^ss�ry ta exp�Eaixf y�ouf•clain�,a.�d the amaier.kt o�compens„t:'ra�� I�eing re�«ested. Ya� ��;�i'.f ����>���eive a written acknowledgement once your form is received. The process can take up to ten weeks or longer depending on the nature of your claim. This form must be signed,and both pages completed. If something does not apply,write`N/A'. SEND COMPLETED FORM AND OTHER DOCUMENTS TO: CITY CLERK, 15 WEST KELLOGG BLVD, 310 CITY HALL, SAINT PAUL, MN 55102 First Name � ��' � �' Middle Initial `� Last Name �� � � ,� �- ��'C���'�`�-�' Company or Business Name ' ��'�' 2 `� Z��Z Are You an Insurance Company? Yes No If Yes, Claim Number? �.°k�i`f �; 's ;� i p�t Street Address ;� >>? (J "�� y,.� �x� �1�" t,� ; � City ��1.� � ����' t�:J u�:Y � State � 1�� Zip Code � �1 I j` Daytime Phone(���.�; t;i Cell Phone(�d���-�Evening Telephone �J I �� .��( Date of Accident/Injury or Date Discovered--��—�'�" , � - ` Time � ' Z'� am� , � Please state, in detail, what occurred(happened), and why you are submitting a claim. Please indicate why or how you feel the Ci�'o Saint Pa�l or its employees are tnvolved and/or respons,ible for your amages. /c' G"',3!'�" � ,'it� '! a I' �ai;J.S� i � ,���, � ,.,. �' �', r{, yy�. ' 'Y! ,t,Y es i'('� '� �-t-> te G• 3°►� Please check the box(es)that most closely represent the reason for completing this form: ❑ My vehicle was damaged in an accident ❑ My vehicle was damaged during a tow ❑ My vehicle was damaged by a pothole or condition of the street ❑ My vehicle was damaged by a plow ❑ My vehicle was wrongfully towed and/or ticketed ❑ I was injured on City property �,Other type of property damage-please specify l,�(/c� �-r �c%'yytc j i:it ❑ Other type of injury=please specify In order to process your claim youu need to include copies of all applicable documents. For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of your claim. Documents WII.,L NOT be returned and become the property of the City. You are encouraged to keep a copy for yourself before submitting yot�r claim form. O Property damage claims to u vehicle:two estimates for the repairs to your vehicle if the damage exceeds $500.00; or the actual bills and/or receipts for the repairs O Towing claims: legible copies of any ticket issued and a copy of the impound lot receipt '�Other property damage claims: two repair estimates if the damage exceeds $500.00; or the actual bills and/or receipts for the repairs;detailed list of damaged items O Injury claims: medical bills,receipts �Photographs aze always welcome to document and support your claim but will not be returned. Page 1 of 2-Please complete and return both pages of Claim Form Failure to complete and return both pages will result in delay in the handling of your claim. All Claims—please complete this section ' ' - Were there witnesses to the incident? Yes No Unknown �circle) , Prov' e their names,ad , ss and elepht�e n bers: ��� �.r -•� .c'�..S ,C � �fi•.. ?..��� V �• /'l/Y�r� � .� Were tlle police or law enforcement called? Yes No Unknown (circle) If yes,what department or agency? Case#or report# , Where did the accident or injury take place? Provide street address,cross street, intersection,name of park or facility, closest landmark,etc. Pl�ase be as de iled as possib e. If ne`c-essary,attaqh a diagram. Z _ 2 i � /��,�r, `2r:¢" ,`��' `' ��_ e.'�:'U' G2J ° d Please indicate the amount you are seekin�in compensation or wha�yo would like the City to do to resolve this claim to your satisfaction.� 2 U, (p�3 --- ,�� ��''��'1,�,,,� Spr���cls�.�-��- Vehicle Ciaims=please complete this section �check box if this section does not apply Your Vehicle: Year Make Model License Plate Number State Color Registered Owner Driver of Vehicle Area Damaged City Vehicle: Year Make Model License Plate Number State Color Driver of Vehicle(City Employee's Name) ` Area Damaged ` ' ` ' Iniury Claims—please complete this section i�[check box if this section does not apply How were you injured? What part(s)of your body were injured? Have you sought medical treatment? Yes No , Planning to Seek Treatment(circle) When did you receive treatment? (provide date(s)) Name of Medical Provider(s): Address Telephone Did you miss work as a result of your injury? Yes No When did you miss work? (provide date(s)) Name of your Employer: Address Telephone �Check here if you are attaching more pages to this claim form. Number of additional pagesc�`� . By signing this form,you are stating that all information you have provided is true and correct to the best of your knowledge. Unsigned forms will not be processed Submitting a false claim can result in prosecution. Date form was completed_�� L�� �_ �. ��/� Print the Name of the Person who Completed this Form: � r Y`�; � � � � Signature of Person Making the Claim: Revised February 2011 � ' i 17 December 2012 Claims Manager City of St. Paul Regional Water Dept Dear Claims Manager, This claim is in reference to the event in the water system on 8 August on Timber Trail in South Maplewood. Due to the e�remely high water pressure caused by the crew working on the fire hydrant, our water meter was blown out causing water to flood our basement for over one hour. Consequently, the City hired Restoration Professionals to clean the initial damage. It was subsequently decided by all parties that water had damaged our carpet, wa11s and other areas beyond salvage. We then hired Restoration Professionals to repair the damages. This included replacement of the carpet, repairs to the sheet rock walls in most of the basement, new doors due to the warping, re-painting, etc in order to put the basement back in livable condition. All repairs have now been completed. We have attached pictures to portray the damages suffered and also attached receipts. There were numerous miscellaneous household items that needed to be thrown out, but it's hard to put a value on some of the items. None of these miscellaneous items are being claimed. We are only seeking to recover the costs of the repairs to the structure along with a couple of other items. The charges Xcel Energy are related to having dehumidifiers and fans running 24 hours/day for nearly two weeks before it was decided that too much damage had occurred. There is also a charge for the cost of us financing the repairs. We feel that these charges are more than reasonable and we are not attempting to recover anything other than our out of pocket expenses to put the basement back in livable condition. Please contact us with any questions. Craig and Cindy Collett 2320 Timber Trail Maplewood, MN 651 730 2954 cccollett@comcast.net Collett - 2320 Timber Trail Basement Damage 8 August 2012 City Water Meter Blowout Item Damages Claimed Notes: Restoration Professionals- Repair all damage to walls See attached floors, etc per RestPro detailed document with invoice $20,130.56 pictures Copies of monthly Xcel Energy- Electrical charge statements included. for 2 weeks of multiple fans Average between 3 and dehumidifers $184.00 months used Qty 6 doors Home Door handles/locksets $87.65 Depot Receipt Comforter $125.99 Kohls Receipt Sherwin Williams Paint Samples $18.00 (x3) $10,000 6% for 4 Interest charge $137.00 months Total $20,683.20 � Xce/Ener � 9'Y _ - _ /� R E S P 0 N S 1 B L E B Y N A T U fl E"' .,:�$I�'��:.f:i�1�f�IUR1I38F -��������#�f$1i�[II �.�l11E1�lt1E��EI�E$�i1ftl � � .; �#11t�illll��l��ilGS�d - Northern States Power Company 57-6975074-9 10/(13r1012 $287.53 Auto Pay Do Not Thank You! Return Please Return This Portion With Your Payment. AV 02 037930 68357B168 A**5DGT illl����i�li�ii�iilli�ini�ll�il�i�li��l�llili�i�i�l���l�llll�ill CRAIG S COLLETT ill�l�lli�lil�i�l�ll���n��������lil��lr�li�lllli���n��ilu�il� 2320 TIMBER TRL E P.O. BOX 9477 MAPLEWOOD MN 55119-5820 MPLS,MN 55484-9477 31 517,00312 69750749 00000�2875300000028753 �etach and Retain This Portion For Your Records Questions:Call 24 Hours 7 Days A Week or write to us at: Please Call: (800 895-4999 Fax: Northern States Power Company ��rt a��u�tag6 CeSidBtt#ial C[iStOtt3�P,55%€]�y�Ul'bill r2fGt'S Hearin�Impaired:(800�895-A949 �800)895-2895 PO BOX 8 ' ' Espano: (800 687-8778 EAU CLAIRE WI 54702-0008 tQ{�flwer pfar�t cpsts,B%to h�g#i v�fta�e line costs a�ad.37°fo Billing Summary to the cQSt of►vca!wire5 t1�at are c�n��ected ta yo��r h�me. ' Residential Previous Balance 08/O6 $132.96 Payment Received as of 09/06 132.96 CR Averages for This Last Balance As Of 09/O6 =�•� Billing Period _ Year Year Current Energy Charges 09/O6 287•�3 Averane Temperature 74* 74 Tatal 5287.53 Electric/kwh per Day 80.4 35.6 Cost per Da� $8.80 $4.15 Gas/therms per Day 0.8 0.7 °_ __ Cost�er Dav _ $OJ8 $0.87 � �0 Degrees Warmer = �_.�urrer�t �Charges � � _ _----------- Electric Charges Usage Period:08/O6/12 to 09/05/12 Meter Reading Information o ' Invoice#438003813 Meter#000097462352 � _ Res Underground 5 Days Total Energy-kWh o = Basic Service Chg $1.61 Company Reading on 09/05 ................................... 33436 = Energy Cl�arge Summer 402 kWh @$0.082060 $32.99 Company Reading on 08/O6 ................................... 31024 _ Res Savers Switch AC $6.23 CH Total Usage in 30 Days kWh 2412 _ Fuel Cost Charye 402 kWh @$0.029950 $12.04 = Res Underground 25 Days E3asic Service Chg $!•Z� Energy Charge Summer 2010 kWh Ca?$0.073630 $148.00 Res Savers Switch AC $31.13 CR Environmt Imprvmt Rider 2010 kWh C4$0.003307 $6.65 Fuel Cost Charge 2010 kWh @$U.027861 $56.00 Resource Adj $13.00 Interim Rate Adj 5.57 Subtota I 5245.71 City Fees $0.75 Transit Improvement Tax @0.25%� $0.61 State Tax @6.875% $16.94 Total Amount 5264.01 CRAIG S COLLETT Next Scheduled � �ate Wif#�d�awn Amou�rt V�tithdrawn : 2320 TIMBER TRL E Meter Readiny�ate i : - -' - �.-..: MAPLEWOOD, MN 55119-5820 10/08/12 _ �__ 1UI(13C207z u _ $287.53 _ Your bill is paid through Xcel Energy's Auto Pay program. On See back of bill for Account#: 51-6975074-9 your due date,the amount is withdrawn from your financial more information. institution and immediately creditetl. Page 1 of 2 Statement Date:09/O6/12 Statement# 339019534 Premise# 302246447 � Xce/Energy� - --- N E S P 0 N S I B L E s r N A T U 8 E*' � Ybur Aceaun#id�mber � ;�l8fe V1C�tt��1`8iv�tti; �..AA��►tif��`(�d�V�: _.;�mor�n�;��ilt�OS�d .....:: 51-6975074-9 09/04R012 $132•96 Auto Pay Do Not Narthern States Power CompanV Thank You! Return Please Return This Portion With Your Payment. AV 01 038156 48397B156 A**SDGT ill�l��l��ll�ll��l���ll������lll�����'I�I�I��III�I�I��II�������I� CRAIG S COLLETT i�l�l�ir�i���i��l�ll�llii������i�n�n�il�illl�����lll�ni�ln�� 2320 TIMBER TRL E P.O.BOX 9477 MAPLEWOOD MN 55119-5820 MPLS,MN 55484-9477 31 51090412 69750749 0000001329600��0013296 Detach and Retain This Portion for Your Records Questions:Call 24 Nours 7 Days A Week or write to us at: ; Please Call: 800 895-4999 Fax: Northern States Power Company �pt 3�1 aV�t��9 f�Sid2tltial CE1�ti3fTl�t,5`z% Qf y�ut#3{{(t�#Er� Hearing Impaired: 800 895-4949 (B00)895-2895 EAU CLAIRE WI 54702-OD08 tt1 pflwer pl0nt�oStS,B%tD hig�7 vn[i�gE iirte CoSts �t�d 37°�a Espanol: �880�687-8778 tv�he CS�S��f IvCal wtre5 that arE C�nn�.Ct�d to YQUe h0�e. ; Billing Summary Residential $125.44 ' ' Previo�s Balance 07/OS $�25.44 CR Averages for This Last Payment Received as of 08/07 =p.00 gillinq Period Year Year Balance As Of 08/07 132.96 79* 80 Current Energy Charyes 08/07 a�32� Averaqe Temaerature 33 z 34.5 Total Electric/kwh per Day $3� $3.97 Cost aer Dav - Gas/therms per Day 0.7 0.8 _ Cost er Dav $075 $0.94 _ *1 Degrees Colder = -- -�----� - �IICC�ttt���f £S__� > > " : ' ' ` --- ---"- Meter Reading Information � _ Electric Charges Usage Period:07/OS/12 to 08J06/12 Meter#000097462352 -- • (nvoice#433865223 Total Energy-kWh 31024 � � Res Underground 29 Days $8.65 Company Reading on 08/O6 ............................••�•••• 30062 ` Basic Service Chg $70.83 Compan�y Heading on 07/0$ .......................k��.... � ; Energy Charge Summer 962 kWh �$0.073630 $�4.62 CR Total Usage in 29 Days Res Savers Switch AC $3.18 � Environmt Imprvmt Rider 962 kWh �$0.003307 $26.6U Fuel Cost Charge 962 kWh @$OA27651 $5.57 Resource Adj Z,g� Interim Rate Adj $103.12 Subtotal $0.75 City Fees $0.2.5 Transit Improvement Tax C�0.75% 7.14 State Tax C�6.875% $111.26 Total Amount Meter Reading Information 6as Charges Usage Period:07/08/12 to 08/06/12 Meter#000000542892 Pressure Correction Adjustment 19 ccf x 1.1000=20.90 ccf Total CCF Z�79 Heat Content Adjustment'L0.90 ccf x 1.0252=21 therms Company Reading on 08/06 ...................•.•••••••.•••••� 2�60 Invoice#219381571 Company Reading on 07/08 ................................... 19 Residential firm Service 29 Days $g pp Total Usage m 29 Days ccf Basic Service Chg Next Scheduled r pate W}tfidr��iit #�a������� CRAIG S COLLETT Meter Reading[)ate _.,�... 2320 TIMBER TRL E ��D�M2 pgjp4/2p12 5132.96 MAPLEWOOD, MN 55119-5820 __ ___ ______—— — Your bill is paid through Xcel Energy's Auto Pay program. On See back of bill for Account#: 51-6975074-9 your tlue date,the amount is withdrawn from your financial institution and immediately cretlitetl. more information. PremiSe# 302246447 Page 1 of 2 Statement Date:08/07/12 Statement# 335396217 � Xce/Enerqy�� R E S P 0 N S I 8 L E B Y N A T U R E" .;::Yplg'�CCQ��}}�Ypp�t` .,: ����::��I,�� . '��'�:�'����M�.� .. ; ���W��F�CI$��f1� . .... ... . .....:... . :.... �.... . -. .::. , Y :� .. ..... .._....:::::,:.�.�:.�.�::.: Northern States Power Company 51-6975074-9 11/01/2012 $72.84 Auto Pa Do Not PleaseReh�m This Portion With Your Payment. Th811k YOUI Retum AV 02 034932 896038148 A**5DGT �I���I�������I��II����II�I��I��I�I����II��1111�1�1�1���1�1������� CRAIG S COLLETT ����I�I��II�I����I�IIIII����II�����I�III'�III�I���IIII'II����I��� 2320 TIMBER TRL E P.O. BOX 9477 MAPLEWOOD MN 55119-5820 MPLS,MN 55484-9477 31 51110112 69750749 00000007284000000�7284 Detach and Retain This Portion For Your Hecords -- Questions:Call 24 Hours 7 Days A Week or write to us at: Please CallP (800�895-4999 fiax: Northern States Power Company �qr drt�u@f3 E fBSid6tltial CUSti3tt3Bf,55°�u U#j�E3Uf b��l fe��i'S : Hearing Im aired:(800 895-4949 800)895-2895 PO BOX 8 � Espanol: (800 687-8778 EAU CLAIRE WI 54702-0008 to power plar�t cosis, 8%ta I�iylj voltag� line eosts and.37°Jo Billing Summary tv�he ev�t of facaf w€res that are cc�nnected to yaur E�Qme. Residential Previous Balance 09/05 $287.53 Payment Received as of 10/05 $287.53 CR Averages for This Last Elec Interim Refund CR 10/04 �35.19 CR Billinq Period Year Year Balance As Of 10/05 535.19 CR Averaae Temaerature 62* 63 Current Energy Charges 10/05 10 .03 [lectric/kwh er�a �8__ Total 572.84 P Y 20.1 21.2 Cost oer Dav $2 g� gZ gg Gas/therms per Day 0.9 1.1 = Cost aer�ay __ $0.88 $1 10 = *1 Degrees Colder = ; > ': �'�,It�#:�I��5��1�' �:�.� ;: ; > N = Electnc Charges Usage Period:09/05/12 to 10/04/12 Meter Reading Intormation = Invoice#442133454 Meter#000097462352 � Res Underground 29 Days Total Energy-kWh � � Basic Service Chg $9.58 Com an Readin on 10/04 34020 = PV 9 ................................... _ Affordability Charge $0.07 Company Reading on 09/05 = Energy Charge Sumrner 503.45 kWh �$0.082060 $41.31 Total Usage in 29 Days �����������������kWh 33584 - Fnergy Charge Winter 80.55 kWh @$0.069750 $,.B2 ° Fuel Cost Charye 584 kWh QQ$0.029623 $17.30 Resource Adjustment Z,q� S�btota l 576.29 City Fees $0.75 Transit Improvement Tax�0.25% $0.19 State Tax C�36.875% S.Zg Total Amount Sg1_52 Gas Charges Usage Period:09/05/12 to 10/04/12 Meter Reading Information Pressure Correction Adjustrnent 24 ccf x 1.1000=26.40 ccf Meter#000000542892 Fleat Content Adjustment 26.40 ccf x 1.0278=27 therms Total CCF Invoice#223543383 Com an Readin on10/04 2223 . . . . Residential Firm Service 29 Days CompanyY Readin9g on 09/05 ... 2199 Basic Service Ch 9 $9.00 Total Usage in Z9 Days ccf 24 Cost Of Gas 27 therms @$0.340740 $9.20 CRAIG S COLLEfT Next Scheduled dafe'Wtthd.l'��ro ,��tt�t�t W�tt�drawn _� 2320 TIMBER TRL E Meter Reading Date : MAPLEWOOD, MN 55119-5820 _ 71/06/12 -- - 11/01/2012- ---- $7Z.84 --- � Your bill is paid through Xcel Energy's Auto Pay program. On See back of bill for Account#: 51-69750749 your due tlate,the amount is withdrawn from your financial more information. institution and immediately credited. Page 1 of 2 Statement Date:10/05/12 Statement# 342636831 Premise# 302246447 - s �sESTOrtanoN: Restoration Professionals PROFESSIdNALS 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone: (651)379-1990 Fax: (651)379-1991 License#BC396147 Client: Craig&Cindy Collett Home: (651)730-2954 Property: 2320 Timber Trail Maplewood,MN Operator Info: Operator: RTONI Estimator: Rodny Toni Cellular: (651)236-7266 Position: Estimator E-mail: RTONI@restpro.com Company: Restoration Professionals Business: 505 Minnehaha Ave.W St.Paul,MN 55103 Type of Estimate: Date Entered: 9/10/2012 Date Assigned: Price List: MNMN7X AUG12 Labor Efficiency: Restoration/Service/Remodel Estimate: COLLETT-CINDY&CRAIGI OS-0572043 This is an estimate for the scope of work as our estimator viewed it at the time.If scope changes need to be made,the estimator will revise as soon as he/she is made aware of it.This estimate is good for 30 days.Pricing changes may occur after 30days.If this estimate is provided to an insurance company,there may need to be some changes,per discussion with the adjuster.The estimator will make the adjustments as needed.Thank you,and as always,Restoration Professionals appreciates working with you. I 1 _ , �RESYO�►irtoN' Restoration Professionals PROFESSIONALS! 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone: (651)379-1990 Fax: (651)379-1991 License#BC396147 COLLETT-CINDY&CRAIGI Main Level ��� - ' Family Room Height: 8' � � J *F� :' - � 1350.67 SF Walls 925.53 SF Ceiling f~ �� T 2276.19 SF Walls&Ceiling 925.53 SF Floor 1 * "� ;� r `� 102.84 SY Flooring 168.83 LF Floor Perimeter ,_..:-, �n;� 168.83 LF Ceil.Perimeter Missing Wall 3'X 8' Opens into STAIRS CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL 1.FCC AV +Carpet FLR_RPL 1012.50 SF [F] 0.00+ 3.07= 3,108.38 2.FCC PAD +Carpet pad F 925.53 SF [F] 0.00+ 0.62= 573.83 3.CON ROOM> +Contents-move out then reset-Large room 1 1.00 EA [F] 0.00+ 86.35= 86.35 4.WPR AV -Remove Wallpaper LL*4+LL*4+LL*4+L 1509.33 SF [F] 0.65+ 0.00= 981.06 L*4+LL*4+LL*4+LL *4+LL*4 5.WPR RMV -Remove Additional charge to remove non-strippable wallpaper WS37.SF+WS41. 692.00 SF [F] 0.29+ 0.00= 200.68 SF+WS7I.SF+WS55. SF+WS7.SF+WS3. SF+WS9.SF+WS 1. SF 6.FNC CHRRS +Chair rail-Detach&reset PF 168.83 LF [F] 0.00+ 2.01 = 339.35 7.DRY LF +Drywall replacement per LF-up to 2'tall PF 168.83 LF [F] 0.00+ 7,22= 1,218.95 8. PNT S + Seal more than the floor perimeter w/latex based stain blocker-one coat PF*2 337.67 SF [F] 0.00+ 0.38= 12831 9. WPR PREP +Prep wall for wallpaper PF*4 675.33 SF [F] 0.00+ 0.49= 330.91 10.WPR AV+ +Wallpaper PF*4 675.33 SF [F] 0.00+ 2.06= 1,391.18 i l.PNT P + Paint more than the ceiling perimeter-one coat PC*4 675.33 SF [F] 0.00+ 0.43= 290.39 12.FNC B3H + Baseboard-3 1/4"hardwood PF 168.83 LF [F] 0.00+ 3.89= 656.75 COLLETT-CINDY&CRAIGI 11/30/2012 Page:2 - . , ��R€sTORanoN' Restoration Professionals PROFE5SIONALS 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone: (651)379-1990 Fax: (651)379-1991 License#BC396147 CONTINUED-Family Room CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL 13.PNT BS + Stain&finish baseboard PF 168.83 LF [F] 0.00+ 1.08= 18234 14.PNT CHR2 +Paint chair rail-two coats PF 168.83 LF [F] 0.00+ 1.00= 168.83 15.CAB LOW I(Install)Cabinetry-lower(base)units 10' 10.00 LF [F] 0.00+ 34.36= 343.60 16.CAB CTPF I (Install)Countertop-post formed plastic laminate 10 10.00 LF [F] 0.00+ 13.11 = 131.10 17.PLM SNK I(Install)Sink-single 1 1.00 EA [F] 0.00+ 111.22= 111.22 18.DOR OAK+ &R&R Interior door-oak veneer-oak veneer jamb&casing 4 4.00 EA [F] 16.52+ 287.91 = 1,217.72 19.PNT DORS + Stain&finish door slab only(per side) 8 8.00 EA [F] 0.00+ 40.87= 326.96 20.PNT DORTS + Stain&finish door/window trim&jamb(per side) 8 8.00 EA [F] 0.00+ 28.62= 228.96 Totals: Family Room 12,016.87 �--"`-� Bedroom Height:8' . � 370.67 SF Walls 133.61 SF Ceiling - '°" - 504.28 SF Walls&Ceiling 133.61 SF Floor I 14.85 SY Flooring 46.33 LF Floor Perimeter � ~5_� 4633 LF Ceil.Perimeter �:�. �: COLLETT-CINDY&CRAIGI I1/30/2012 Page: 3 � �ttESTOwtnotu' Restoration Professionals PeoF�ss�ar�ats: 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone: (651)379-1990 Fax: (651)379-1991 License#BC396147 Subroom: Closet(1) Height: 8' 150.67 SF Walls 14.83 SF Ceiling � 1������1� 165.50 SF Walls&Ceiling 14.83 SF Floor ry ry 1.65 SY Flooring 18.83 LF Floor Perimeter ��t , 18.83 LF Ceil.Perimeter CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL 21.FCC LAY + Lay existing carpet-Labor only F 148.44 SF [F] 0.00+ 0.62= 92.03 22.CLN FCC +Clean and deodorize carpet F 148.44 SF [F] 0.00+ 0.37= 54.92 23.FNC B3 I(Install)Baseboard-3 1/4" WS24.PF+WS57.PF 19.92 LF [F] 0.00+ 1.71 = 34.06 24.CON ROOM +Contents-move out then reset 1 1.00 EA [F] 0.00+ 57.56= 57.56 25.DOR OAK+ &R&R Interior door-oak veneer-oak veneer jamb&casing 1 1.00 EA [F] 16.52+ 287.91 = 304.43 26.PNT DORS + Stain&finish door slab only(per side) 2 2.00 EA [F] 0.00+ 40.87= 81.74 27.PNT DORTS + Stain&finish door/window trim&jamb(per side) 2 2.00 EA [F] 0.00+ 28.62= 57.24 Totals: Bedroom 681.98 `-``-' Bathroom � q,,, � Height: 8 325.56 SF Walls 73.27 SF Ceiling � � 398.84 SF Walls&Ceiling 73.33 SF Floor 8.15 SY Flooring 40.70 LF Floor Perimeter �����"` 40.70 LF Ceil.Perimeter � � CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL 28. DRY LF +Drywall replacement per LF-up to 2'tall PF 40.70 LF [F] 0.00+ 7.22= 293.85 COLLETT-CINDY&CRAIGI 11/30/2012 Page:4 EsTORanoru Restoration Professionals PROFESSIONALS? 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone:(651)379-1990 Fax:(651)379-1991 License#BC396147 CONTINUED-Bathroom CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL 29.PNT S +Seal more than the floor perimeter w/latex based stain blocker-one coat PF*2 81.39 SF [F] 0.00+ 038= 30.93 30.FNC B3H +Baseboard-3 1/4"hardwood PF 40.70 LF [F] 0.00+ 3.89= 158.32 31.PNT BS + Stain&finish baseboard PF 40.70 LF [F] 0.00+ 1.08= 43.96 32.FCV AV -Remove Vinyl floor covering(sheet goods) FLR RMV 73.33 SF [F] 0.81+ 0.00= 59.40 33.FCV AV +Vinyl floor covering(sheet goods) FLR RPL 164.00 SF [F] 0.00+ 3.59= 588.76 34.FCV PREP +Floor preparation for sheet goods F 73.33 SF [F] 0.00+ 0.57= 41.80 35.FCV EDGE &R&R Vinyl-metal transition strip 3 3.00 LF [FJ 0.66+ 3.33= 11.97 36.FNH TBARRS +Towel bar-Detach&reset 2 2.00 EA [F] 0.00+ 17.77= 35.54 37.PNT P2 +Paint more than the floor perimeter-two coats PF*2 8139 SF [F] 0.00+ 0.66= 53.72 New drywall needs 2 coats of paint 38.PNT P +Paint part of the walls-one coat W-7333 252.23 SF [F] 0.00+ 0.43= 108.46 39.LIT RS +Light fixture-Detach&reset 1 1.00 EA [F] 0.00+ 57.95= 57.95 on wall 40.CAB VAN I(Install)Vanity 4 4.00 LF [F] 0.00+ 38.51 = 154.04 41.MBL VTSNK I(Install)Vanity top-one sink-cultured marble 4 4.00 LF [F] 0.00+ 38.05= 152.20 42.PLM FAUBA I(Install)Sink faucet-Bathroom 1 1.00 EA [F] 0.00+ 78.01 = 78.01 43.CAB FH I(Install)Cabinetry-full height unit 1'6 1.50 LF [F] 0.00+ 43.51 = 65.27 44.DOR OAK+ &R&R Interior door-oak veneer-oak veneer jamb&casing 1 1.00 EA [F] 16.52+ 287.91 = 304.43 45.PNT DORS + Stain&finish door slab only(per side) 2 2.00 EA [F] 0.00+ 40.87= 81.74 46.PNT DORTS + Stain&finish door/window trim&jamb(per side) 2 2.00 EA [F] 0.00+ 28.62= 57.24 COLLETT-CINDY&CRAIGI 11/30/2012 Page: S a��RESTOt;anoN: Restoration Professionals PROFESSiONALS: 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone: (651)379-1990 Fax: (651)379-1991 License#BC396147 CONTINUED-Bathroom CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL Totals: Bathroom 2,377.59 �z"�"—� Stairs Height: 17' T' 1 "1 299.15 SF Walls 35.25 SF Ceiling ir�° 334.40 SF Walls&Ceiling 64.88 SF Floor `"°� 7.21 SY Flooring 28.57 LF Floor Perimeter 23.67 LF Ceil.Perimeter Missing Wall 3'X 17' Opens into FAMILY_ROOM CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL 47.FCC AV -Remove Carpet FLR RMV 64.88 SF [F] 0.25+ 0.00= 16.22 48.FCC AV +Carpet FLR_RPL 98.50 SF [F] 0.00+ 3.07= 302.40 49.FCC STP + Step charge for"waterfall"carpet installation 15 15.00 EA [F] 0.00+ 6.24= 93.60 Totals: Stairs 412.22 Total: Main Level 15,488.66 General Conditions CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL COLLETT-CINDY&CRAIGI 11/30/2012 Page:6 �RESTO�►naN' Restoration Professionals PRO�ESSfONALS! 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone:(651)379-1990 Fax: (651)379-1991 License#BC396147 CONTINUED-General Conditions CAT SEL ACT DESCRIPTION CALC QNTY REMOVE REPLACE TOTAL 50.INS BIDITM + Insulation(Bid Item) 1 1.00 EA [D] 0.00+ 240.00= 240.00 51.DMO DUMP< -Dumpster load-Approx. 12 yards, 1-3 tons of debris 1 1.00 EA [D] 258.00+ 0.00= 258.00 52.CLN GN +General clean-up 6 6.00 HR [D] 0.00+ 30.08= 180.48 53.FEE TIPF +Taxes,insurance,permits&fees(Bid item) 1 1.00 EA [*D] 0.00+ 133.99= 133.99 Totals: General Conditions 812.47 Line Item Totals: COLLETT-CINDY&CRAIGI 16,301.13 Grand Total Areas: 4,226.32 SF Walls 1,655.50 SF Ceiling 5,881.82 SF Walls and Ceiling 1,685.18 SF Floor 187.24 SY Flooring 519.47 LF Floor Perimeter 0.00 SF Long Wall 0.00 SF Short Wall 514.56 LF Ceil.Perimeter 1,685.18 Floor Area 1,775.87 Total Area 3,869.40 Interior Wall Area 1,644.75 Exterior Wall Area 182.75 Exterior Perimeter of Walls 0.00 Surface Area 0.00 Number of Squares 0.00 Total Perimeter Length 0.00 Total Ridge Length 0.00 Total Hip Length COLLETT-CINDY&CRAIGI 11/30/2012 Page:7 ��ESTOr�nnat�', Restoration Professionals PROFESSIONALS' 505 Minnehaha Ave.W. Saint Paul,MN 55103 Phone:(651)379-1990 Fax:(651)379-1991 License#BC396147 Summary for Dwelling Line Item Total 16,301.13 Matl Sales Tax Reimb @ 7.125% 457.53 Subtotal 16,758.66 Overhead @ 10.0% 1,675.89 Profit @ 10.0% 1,675.89 Cleaning Sales Tax @ 7.125% 20.12 Replacement Cost Value $20,130.56 Net Claim $20,130.56 Rodny Toni Estimator COLLETT-CINDY&CRAIGI 11/30/2012 Page: 8 ' � ? � � � tln '�'�� 1 i�`� ' " �� � � � � V! �'! ;' � � ������� ;��� ��i � ����� �wy�'�� ���� � � I���) 1� � � a H � � � F i A ��� � I "���� � �� �����,���9����,i������"� ��� �o � � .. � � � �:Ii �� � H a �� ,����� �'��� �;,�uq� �u� � � � � `? �� �' �' � � j�ii'� k ��`!. �°���' y a �' t' � p ; . . ��� h`� kr1; '����? 4t �` �r� �� �� '�'i+;��� � � �, � . 1� 4 y # . _ . - ' ,- f . ��}� � �il �� ��F �r �4��N1'.���� ' � " �"�"� � fi �r,�� � � � �� � ya� 'ri-r; . � .• `�A�� .. ,�::" . .:� . �.. :.�Y 44� . - �. ; �,.� .. . ,yu�.. -,�t� �. 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